assessment report. sekolah tinggi ilmu kesehatan … · 6 nonconformities requiring attention were...
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Report Author BUDI SISWANTO Page 1 of 25 Visit Start Date 24/09/2014
Assessment Report.
Sekolah Tinggi Ilmu Kesehatan 'Aisyiyah Yogyakarta
Assessment Report.
Report Author BUDI SISWANTO Page 2 of 25 Visit Start Date 24/09/2014
Introduction.
This report has been compiled by BUDI SISWANTO and relates to the assessment activity detailed below:
Visit ref/Type/Date/Duration Certificate/Standard Site address
8065140
Continuing Assessment (Surveillance)
24/09/2014
3.5 day(s)
No. Employees: 60
FS 600796
ISO 9001:2008
Sekolah Tinggi Ilmu Kesehatan
'Aisyiyah Yogyakarta
Jl . Ring Road Barat 63
Mlangi Nogotirto Gamping Sleman
Yogyakarta
55292
Indonesia
The objective of the assessment was to conduct a surveillance assessment and look for positive evidence to ensure that elements of
the scope of certification and the requirements of the management standard are effectively addressed by the organisation's
management system and that the system is demonstrating the ability to support the achievement of statutory, regulatory and
contractual requirements and the organisations specified objectives, as applicable with regard to the scope of the management
standard, and to confirm the on-going achievement and applicability of the forward strategic plan and where applicable to identify
potential areas for improvement of the management system.
The scope of the assessment is the documented management system with relation to the requirements of ISO 9001 : 2008 and the
defined assessment plan provided in terms of locations and areas of the system and organisation to be assessed.
Management Summary. Overall Conclusion
The objectives of this assessment have been achieved.
I would like to thank all the audit participants for their assistance and co-operation which enabled the audit to run smoothly and to
schedule.
Based on the objective evidence detailed within this report, the areas assessed during the course of the visit were generally found to
be effective.
Corrective actions with respect to nonconformities raised at the last assessment have been reviewed and found to be effectively
implemented.
6 nonconformities requiring attention were identified. These, along with other findings, are contained within subsequent sections of
the report.
A nonconformity relates to a single identified lapse, which in itself would not indicate a breakdown in the management system's
ability to effectively control the processes for which it was intended. It is necessary to investigate the underlying cause of any issue to
determine corrective action. The proposed action will be reviewed for effective implementation at the next assessment.
Assessment Report.
Report Author BUDI SISWANTO Page 3 of 25 Visit Start Date 24/09/2014
Areas Assessed & Findings. Top Management (Ketua & Wakil Ketua) : 4.1, 5.1, 5.2, 5.3, 5.4, 5.5.1, 5.5.2, 5.5.3
Auditee : Mrs. Warsiti & team
The Top Management headed by Leader of Institution has demonstrated a strong commitment to the implementation and continual
improvement of the QMS in meeting with their customers requirements.
Vision : "Menjadi Perguruan Tinggi kesehatan terbaik ditahun 2016," which is describe in the strategic planning of institution 2011 -
2016.
Organization has established and documented a Quality Management System since April 2013. and the purpose of implementation
Quality Management System to ensuring the satisfaction of stakeholder thru developing of documented management system.
Expectation of stakeholder has been determine in the strategic planning of institution 2011-2016.
The Quality Policy established by Top Management and relevant with the nature of business. Copies of this quality policy are
communicated and posted at strategic area such as meeting room and also at the site office and all employees are understood and
aware the spirit of quality policy in relation to their jobs, meeting, web etc.
The organization had set measurable objectives in the strategic planning of institution 2011-2016 called "Indikator keberhasilan
Implementasi program 2011-2016" in line with accreditation objective.
Advantage in implementing the quality management system has been keenly felt by the organization and assist organizations in
gaining accreditation better than the previous year, which was declared obtain accreditation "A" in 2016.
The organisation structure established by Top Management (SK no. 30/SENAT-STIKES/SK/III/2013) which present the organisation
function and position of the Director and Managers. All managers are individually and collectively responsible for ensuring that
activities are adequately planned, resourced, controlled and monitored including subject to continual performance improvement.
Responsibility and Authority of all level were determine and communicated.
Verified appointed letter for Management Representative no. 74/SK-STIKES/Au/XII/2012 on 12 December 2012. Verified the
evaluation of performance for each department including customer satisfaction on 2013.
Communication processes are established within the organization various levels and function through emails, notice board, meeting
etc. Continual improvement will be concern to ensuring the achievement of challenge objective such as competency of graduation
which is improving in the learning process.
Opportunity for improvement.
Type Area/Process Clause
Opportunity for
improvement
Top Management (Ketua & Wakil Ketua) 5.1
Scope FS 600796
Details: - Sebaiknya perlu dipertimbangkan untuk penerapan sistem manajemen mutu, bisa dilakukan secara online
dan integrated di setiap fungsi yang relevan.
- Perlu dipertimbangkan pula untuk dilakukan pengembangan secara online terkait kemudahan akses publik
dan brand kampus bisa lebih ditonjolkan di dalam website serta beberapa bukti bahwa banyak keunggulan
organisasi bisa ditunjukkan seperti contohnya dengan adanya testimonial atau chat online.
Assessment Report.
Report Author BUDI SISWANTO Page 4 of 25 Visit Start Date 24/09/2014
Management Representative / BPM-P : 4.1, 4.2, 5.4, 5.6, 8.2.2, 8.3, 8.5
Auditee : Mr Syaifudin & Mr Bayu
Unit Penjaminan Mutu/Management Representative has responsibilities for ensuring compliance to the ISO 9001:2008 requirement
and effectiveness of implementation. Mandatory element was implemented and documented in :
1. SOP Document and record Control (SAY/BPM.P/SM/03))
2. SOP Internal Audit (SAY/BPM.P/SM/02)
3. SOP Non conforming, corrective and preventive action (SAY/BPM.P/SM/07)
Documentation system comprises of categories of document (Company document system, Project Document System, External
Documents) and determined in Quality manual, Quality procedure, Work Instruction and supporting document and Form/Record.
Quality manual was approved and covered all relevant clauses of ISO 9001:2008.
Control of documents have been performed in the procedure no. SAY/BPM.P/SM/03 and verified some record such as : the master list
document internal and external, distribution of document.
Management review has not been conducted once per semester as required in the procedure SAY/BPM.P/SM/01. Last management
review conducted on 12 Sept 2014. Minutes of meeting has been recorded in Notulen rapat.
Internal audit conducted once per semester as describe in the procedure SOP Audit Mutu Internal, Doc. No: (SAY/BPM.P/SM/02).
Internal Audit has been conducted on 11-20 Aug. 2014 as per Audit Plan. Auditors found to be Impartial and independent of the
areas audited. There were more than 274 NC raised and it was noted that date of completion and follow up activity including of
evidence of effectiveness for closed out finding
8.3 Controlling of non conformance product
SOP Pengendalian Produk tidak sesuai (SAY/BPM.P/SM/07) has been established. The nonconformities which need to be recorded has
been identified in the procedure
8.5.1 Improvement, 8.5.2 Corrective action, 8.5.3 Preventive action
SOP Perbaikan dan pencegahan Doc. No. (SAY/BPM.P/SM/07) has been established. Form Permintaan tindakan perbaikan dan
pencegahan has been determined.
Observations.
Type Area/Process Clause
Observations Management Representative / BPM-P 4.2.3
Scope FS 600796
Details: - Sebaiknya perlu dipertimbangkan untuk ditinjau ulang prosedur pengendalian dokumen terkait
pengendalian dokumen eksternal
- Di dalam pengendalian dokumen terhadap perubahan / revisi dokumen, sebaiknya perlu dipertimbangkan
untuk diidentifikasi untuk bisa mampu telusur dengan mudah history revisi dokumennya dan dilakukan
secara lebih efektif, seperti contoh : history revisi dokumen dimasukkan ke dalam dokumen yang direvisi.
- Sebaiknya perlu dipertimbangkan untuk ditinjau ulang form distribusi dan penarikan dokumen dibuat lebih
efisien.
Assessment Report.
Report Author BUDI SISWANTO Page 5 of 25 Visit Start Date 24/09/2014
Type Area/Process Clause
Observations Management Representative / BPM-P 8.2.2
Scope FS 600796
Details: - Sebaiknya perlu dipertimbangkan untuk ditinjau kembali hasil internal audit, untuk temuan audit bisa
dikategorikan atau menggunakan sistem lain, seperti contoh : skoring.
- Untuk tindakan perbaikan dari temuan internal audit, sebaiknya perlu ditinjau untuk keefektifannya
Opportunity for improvement.
Type Area/Process Clause
Opportunity for
improvement
Management Representative / BPM-P 8.5.2
Scope FS 600796
Details: Sebaiknya perlu dipertimbangkan untuk mekanisme tindakan perbaikan dan pencegahan untuk semua
ketidaksesuaian ataupun ketidaktercapaian bisa ditinjau ulang.
Perpustakaan : 5.4, 6.3, 6.4, 7.5, 8.2, 8.4, 8.5
Auditee : Ms. Nisa' & team
1. Process Overview
Borrowing books --> registration --> library card --> book out --> returning books --> books governance
2. Key Process/parameter
- Control of the books like with e-library, e-catalogs based IT
- Quality objective have been established. Achievement of quality objective for 2014 was monitored yearly. The record is available in
place.
The quality objective measured for baseline in year 2013-2014 are:
1. Jumlah judul buku teks : 50/years
2. Jumlah judul disertasi/thesis/skripsi : 375/years
3. Jumlah judul jurnal ilmiah : 1/years
4. prosiding seminar : 1/2 years
5. kompetensi pustakawan : 50%
6. naskah publikasi hasil penelitian dosen dan mahasiswa di portal garuda : 80%
7. koleksi buku terinput di SIM : 100%
3. Applicable requirement / regulatory
- UU No. 43 th. 2007
- Buku Pegangan perpustakaan perguruan tinggi.
- UU RI no. 12 / 2012
4. Objective evidence
- Verified implementation of : Prosedur Pengelolaan Koleksi Perpustakaan document no. SAY/PUS/PBM/16 dated 19 August 2013,
Assessment Report.
Report Author BUDI SISWANTO Page 6 of 25 Visit Start Date 24/09/2014
Prosedur Layanan Perpustakaan document no. SAY/PUS/PBM/15. dated 16 August 2013, Procedure Pelayanan Bebas Pustaka.
- Sasaran Mutu Perpustakaan dan Rencana Mutu Perpustakaan (doc. no. SAY/BPM-P/SM/RO)
- Daftar Pemesanan Koleksi Perpustakaan Stikes 'Aisyiyah Yogyakarta Bulan Maret 2013
- Portal Garuda http://garuda.dikti.go.id/statistik/dokumen, which states the amount of thesis uploaded by Stikes 'Aisyiyah
Yogyakarta
- Surat Keterangan Keanggotaan Forum Pustakaan Perguruan Tinggi di Indonesia (FPPTI) Daerah Istimewa Yogyakarta
- Hasil Penilaian Presentasi Final Pemilihan Pendidik dan Tenaga Kependidikan Berprestasi Sesuai Standar BSNP Tingkat Nasional
Tahun 2011 no. 2376/E.4.2/2011
- The DDC Dewey Decimal Classification and Relative Index is used managed the Spesification for library room temperature is
between 22 - 24 degree celcius, humidity 44% - 55%.
- No. 610.7367/Sim/b/1987 with Buku Belajar Merawat di bangsal bedah karangan Simon, THS with. No. invt. C.1 (156).
5. Conclusion
In general process and activities in this department is found well managed.
Observations.
Type Area/Process Clause
Observations Perpustakaan 5.4.1
Scope FS 600796
Details: Sebaiknya untuk pengukuran kinerja perpustakaan disesuaikan dengan target sasaran mutu yang telah
ditetapkan, agar mempermudah monitoringnya, dan tindakan perbaikan merujuk ke akar permasalahannya.
Type Area/Process Clause
Observations Perpustakaan 8.2.3
Scope FS 600796
Details: Untuk menjaga kesesuaian antara data aktual dan sistem untuk jumlah, jenis, spesifikasi buku di
perpustakaan, sebaiknya dipertimbangkan untuk dilakukan stock opname secara berkala dalam durasi
waktu yang tidak terlalu lama dengan metoda yang lebih mudah tanpa mengganggu aktifitas
perpustakaan.
Opportunity for improvement.
Type Area/Process Clause
Opportunity for
improvement
Perpustakaan 4.2.4
Scope FS 600796
Details: Sebaiknya dipertimbangkan untuk dilakukan kontrol terhadap proses migrasi dari manual ke sistem.
Assessment Report.
Report Author BUDI SISWANTO Page 7 of 25 Visit Start Date 24/09/2014
Prodi D3 Kebidanan : 5.4, 5.5.1, 6.2, 7.1,7.3, 7.5.1, 7.5.2, 7.5.3, 7.6, 8.2.1, 8.2.3, 8.2.4, 8.3, 8.4, 8.5
Auditee : Mrs Anjarwati & Team
1. Process Overview
Proccess of increase the competence of lecturers with training, and continuing education to a higher level, define of curricullum,
conduct research and dedication of community .
2. Key Process/parameter
- Quality objective have been established. Achievement of quality objective for 2014 was monitored monthly. The record is available
in place.
Process Inputs : Training request, manpower, curricullum, research
Process Outputs : Training schedule, training realization, training evaluation, training record, journal, performance evaluation report,
SAP, syllabus etc.
3. Applicable requirement / regulatory
- UU RI no. 12 / 2012
- Kurikulum Pendidikan NERS edisi 2010
- KKNI (Kualifikasi KUrikulum Nasional Indonesia)
4. Objective evidence
- Verified implementation of : SOP Prodi Kebidanan DIII, Prosedur sistem mutu tentang urain tugas
- Pelaksanaan ujian akhir semester genap tahun akademik 2013-2014
- Program structure D3 Kebidanan on 2013 & 2014 on semester genap and 2014 & 2015 semester genap
- Syllabi of # BD3105, semester III, Asuhan kebidanan, # BD 3104
- Competency of lecture for each subject on 2013/2014
- Evaluation of lecture on 2013-2014
- Tugas akhir (SOP no. SAY/AK/PBM/05)
- Ujian Tugas, Skripsi, bimbingan & examination : # 201010105229 # 201010105009
- SK Dosen pembimbing dan penguji no. SK-STIKES/Ad/XII/2012
- Laporan pelaksanaan Ujian Akhir Semester 2013-2014
- Validation of exam paper on 2013-2014 semester genap
- Laporan evaluasi pembelajaran teori & tutorial 2013-2014
- Accreditation got B until 24 Sept. 2014, but already processed to BAN PT (based on letter from BAN PT dated 03 Aug 2016) and
waiting response from BAN PT
- Rencana Pengembangan studi lanjut dosen prodi kebidanan jenjang diploma III Stikes 2012 - 2018giatan pelatihan item
development dan item review dosen kebidanan
- Laporan kegitan pelatihan item development dan item review dosen kebidanan STIKES "AISYIAH" Yogyakarta dates 5 Feb. 2014
- Rekapitulasi indeks kinerja dosen kebidanan semester genap tahun akademik 2013-2014
- Evaluasi terhadap dosen pengampu oleh mahasiswa semester I & III prodi kebidanan DIII 2013-2014
- Daftar prestasi dan penghargaan mahasiswa/wi 2013-2014
- Persyaratan kelulusan berdasarkan yudisium 2013-2014
5. Conclusion
In general process and activities in this department is found well managed
Assessment Report.
Report Author BUDI SISWANTO Page 8 of 25 Visit Start Date 24/09/2014
Observations.
Type Area/Process Clause
Observations Prodi D3 Kebidanan 7.5.2
Scope FS 600796
Details: Sebaiknya dipertimbangkan untuk dilakukan validasi soal secara contain soal bukan hanya sekedar
jumlahnya saja.
Opportunity for improvement.
Type Area/Process Clause
Opportunity for
improvement
Prodi D3 Kebidanan 8.4
Scope FS 600796
Details: Untuk analisa butir soal ujian, sebaiknya perlu dipertimbangkan untuk hasil analisa tidak hanya berdasarkan
dari hasil ujian yang masuk ke bank soal saja, tetapi lebih kepada contain soal disesuaikan dengan
materinya.
Type Area/Process Clause
Opportunity for
improvement
Prodi D3 Kebidanan 7.4.2
Scope FS 600796
Details: Sebaiknya dipertimbangkan untuk setiap pembelian bahan kimia yang dilakukan bisa disertakan MSDS atau
COAnya.
Bagian Kemahasiswaan dan Pemberdayaan Alumni : 5.4, 7.5, 8.4, 8.5
Auditee : Mr. Dwi
1. Process Overview
The proses in Bagian Kemahasiswaan and Pemberdayaan Alumni consist of :
- Program Penerimaan Mahasiswa Baru
- Pengembangan Ekstra kulikuler dan koordinir Organizasi Mahasiswa
- Pengelolaan Beasiswa
- Program Orientasi Mahasiswa Baru
- Pelayanan Kesehatan Mahasiswa
- Penyebaran informasi lowongan kerja
- Pembekalan calon wisudawan dalam menghadapi dunia kerja
- Pelacakan alumni
2. Key Process/parameter
- Parameter kelulusan mahasiswa baru
Assessment Report.
Report Author BUDI SISWANTO Page 9 of 25 Visit Start Date 24/09/2014
- Evaluasi kegiatan orientasi mahasiswa baru
- tracer survey alumni ..etc
3. Applicable requirement / regulatory
- UU RI no. 12 / 2012
- Statuta STIKES
4. Objective evidence
- Verified implementation of : SOP Pelacakan Alumni (no. SAY/KPA/PBM/12), SOP Registrasi (no. SAY/KPA/PBM/02), Prosedur
Layanan Karir (no. SAY/KPA/PBM/07)
- Data Peserta diterima dan registrasi period 2013-2014
- Layan Karir" no. SAY/AK/PBM/07 dated 15 July 2013
- Pengumuman no. 326/STIKES/Ak/VIII/2013 about "Pembekalan Alumni" dated 21 August 2013
- Notulen Rapat dated 19 August 2013 about "persiapan Pembekalan Alumni"
- Kalender Kegiatan Kemahasiswaan Tahun Akademik 2013-2014 on 16-21 September 2013
- Seleksi international summer scholl at the university of tokhusima Japan 2014 with result of Dina A, Nurmala, Firstyono.
- Laporan kegiatan mahasiswa baru LPJ Mataf on 25 - 30 Aug. 2014
- Kuisioner pengguna lulusan program studi D3 kebidanan period. 2013-2014
- Laporan Studi pelacakan pengguna alumni period Dec. 2013
- Laporan Program layanan bimbingan karir pembekalan alumni period 2013-2014
- Laporan kegiatan seleksi penerimaan mahasiswa baru STIKES period 2013-2014
- Penerima beasiswa peningkatan prestasi studi (PPS) STIKES on 8 Feb. 2014
- Kartu Tanda Pesert Dana Sehat Muhammadiyah as DP.
5. Conclusion
In general process and activities in this department is found well managed.
Observations.
Type Area/Process Clause
Observations Bagian Kemahasiswaan dan Pemberdayaan Alumni 4.2.3
Scope FS 600796
Details: Sebaiknya ditinjau ulang SOP registrasi terkait registrasi online
Type Area/Process Clause
Observations Bagian Kemahasiswaan dan Pemberdayaan Alumni 8.2.1
Scope FS 600796
Details: Sebaiknya dipertimbangkan untuk survey dari alumni dijadikan dasar untuk melakukan develop materi
pembelajaran untuk lebih mendekatkan dunia kerja dengan materi mata kuliah.
Assessment Report.
Report Author BUDI SISWANTO Page 10 of 25 Visit Start Date 24/09/2014
Opportunity for improvement.
Type Area/Process Clause
Opportunity for
improvement
Bagian Kemahasiswaan dan Pemberdayaan Alumni 7.1
Scope FS 600796
Details: Sebaiknya dipertimbangkan untuk dibuatkan standart baku penerimaan mahasiswa baru dari beberapa
parameter yang sudah kita tetapkan
Administrasi Akademik : 4.5,8.2.3,7.5.1,7.5.4,7.5.5,8.4
Auditee: Pak Dono dan tim
Process overview
Departement ini bertanggung jawab, antara lain:
1. Penjadualan perkuliahan
2. Pelayanan akademik, seperti: pengambilan ijasah, legalisir ijasah, pengisian KRS (her) dll
3. Membantu proses yudisum (kelengkapan administratif)
4. MEmbantu pelaksanaan UTS dan UAS
5. Pengelolaan ijasah
Key Process/parameter
Sasaran mutu 2014 sudah ditetapkan, antara lain:
1. Pengembangan staff akademik sesuai dengan kompetensi: 100%
2. Ketersediaan kalender akademik 2 minggu sebelum pembelajaran
3. ketersediaan guku akademik 100%
4. Pelaksanaan Her mahasiswa sesuai jadual
5. Pelaksanaan perkuliahan berbasi IT: 80%
6. Indeks kepuasan pelayana akademik > 2,5
Rencana kerja (rencana mutu) terkait sasaran mutu sudah disusun.
Pencapaian sasaran mutu tahun 2013, dimonitor dan dilaporkan setahun sekali.
Applicable requirement / regulatory
UU RI no. 12 / 2012
Objective evidence
- Rekapitulasi Her-registrasi mahasiswa semester gasal 2013/2014
- SIM (Sistem Informasi Manajemen Perguruan Tinggi Terpadu): SIM Akademik
- Kalender Akademik 2014/2015
- Buku Akademik
- Jadual ujian remedial Prodi Ilmu Keperawatan (S1) semester gasal 2013/2014
- Bukti Serah terima soal Her. Mata Kuliah: Keperawatan Dasar I
- Berita Acara ujian, mata kuliah Keperawatan Dasar I
- Daftar hadir ujian remidi, mata kuliah Keperawatan Dasar I
- Serah teriam soal, mata kuliah Gawat Darurat I
- Berita Acara ujian, Gawat Darurat I
Assessment Report.
Report Author BUDI SISWANTO Page 11 of 25 Visit Start Date 24/09/2014
- Daftar hadir ujian remidi, Gawat Darurat I
- RKS mahasiswa remidi semester 4, Prodi Ilmu Keperawatan
- Mahasiswa NIM 201010201001 dan NIM 201010201002
- Daftar pengumpulan berkas yudisium
- Formulir persyaratan yudisium dan wisuda
- Rekapitulasi penggunaan kertas ijasah, tgl. 19 Agt. 2014 ----> 818 lulusan
- SK Kepala Sekolah Tinggi Ilmu Kesehatan "Aisyiyah" #76/SK-STIKES/Ad/VIII/2014 tgl. 9 Agt. 2014
- SOP Ujian #SAY/AK/PBM/04
- SOP Her Rregistrasi #SAY/PA/PBM/14
- SOP Registrasi #SAY/PA/PBM/02
- SOP Yudisium #SAY/AK/PBM/02
- SOP Wisuda #SAY/AK/PBM/13
- Indeks kepuasan pelayanan akademik TA 2013/2014: 2.64
Conclusion
Secara umum, proses di bagian Administrasi Akademik berjalan dengan biak, Bukti-bukti pekerjaan bisa diperlihatkan dengan
lengkap.
Observations.
Type Area/Process Clause
Observations Administrasi Akademik 7.5.5
Scope FS 600796
Details: Agar dibuatkan bukti serah terima buku akademik yang didistribusikan kepada dosen, sebagai bukti
pendukung (data) terkait sasaran mutu "Ketersediaan Buku Akademik".
Laboratorium : 4.5,8.2.3,5.5.1,7.5.1,7.5.2,7.5.3,7.5.4,7.5.5,8.4
Auditee: Ibu Irma dan tim
Process overview
Departement ini bertanggung jawab, antara lain:
Koordinasi praktikum untuk Ilmu keperawatan dan fisioterapi: membuat jadual praktikum, daftar hadir praktikum, menyediakan alat-
alat lab. dll.
Key Process/parameter
Sasaran mutu 2014 sudah dibuat, antara lain:
1. Ketersediaan alat praktikum sesuai dengan rasio jumlah alat: jumlah mahasiswa 1:5 tiap prodi
2. Ketersediaan phantom praktikum 1:20
3. Load penggunaan ruang praktikum 1:8 jam
4. Indeks kepuasan stakholder layanan lab. minila 3.5
Rencana kerja (rencana mutu) terkait sasaran mutu sudah disusun.
Pencapaian sasaran mutu tahun 2013, dimonitor dan dilaporkan setahun sekali.
Applicable requirement / regulatory
UU RI no. 12 / 2012
Assessment Report.
Report Author BUDI SISWANTO Page 12 of 25 Visit Start Date 24/09/2014
Objective evidence
- SOP Praktikum #SAY/AK/PBM/11
- Struktur organisasi Laboratorium dan uraian tugasnya
- Jadual praktikum, semester gasal 2013/2014
- Daftar inventaris: USG, CTG, EKG, Nebulizer, Phantom
- Sistem informasi administrasi (SIM) inventaris alat lab.
- Kart kendali alat (pengecekan seblum dipakai): USG, CTG, EKG, Nebulizer, Phantom
- Perjanjian penangana limbah B3 lab. biomedis dengan RS PKU Jogyakarta, #0037/KS.14.5.3/VII/2011
- Kartu kendali alat nebulizer 27 Agt. 2014 dan 20 Sept. 2014
- Daftar hadir kuliah praktek; Keperawatan gawat darurat tgl. 6, 12, 13, 24 Sept. 2014
- Rekap mengajar dosem; SIM laboratorium
- Indeks kepuasan stakholder 2013/2014; semester gasal: 3.16, semester genap: 3.15
Conclusion
Secara umum aktivitas di laboratorium berjalan dengan baik,
Observations.
Type Area/Process Clause
Observations Laboratorium 7.5.5
Scope FS 600796
Details: 1. Persediaan bahan kimia di laboratorium biomedis agar dimasukan ke dalam SIM inventasi lab, sehingga
stok bahan kimia dan penggunannya bisa termonitor dengan lebih baik.
2. Limbah B3 yang dihasilkan dari bahan kimia yang digunakan praktek di lab. biomedis, dikirimkan ke RS
PKU Jogyakarta (ada perjanjian kerjasamanya).
Berita acara / catatan pengirian agar dibuatkan.
Prodi Keperawatan : 4.5,6.2.1,7.3,7.4.1,8.2.3,8.2.4,8.4
Auditee: Ibu Suratini dan tim
Process overview
Secara garis besar departement ini bertanggung jawab melakukan perencanaan perkuliahan, pelaksanaan perkuliahan, monitoring
hasil perkuliahan.
Key Process/parameter
Sasaran mutu 2014 sudah dibuat, antara lain:
1. Minimal 8% mahasiswa berprestasi di tingkat nasional dan minimal 1% di tingkat internasional
2. Mahasiswa menyelesaikan studi tepat waktu 100%
3. Lulusan memiliki TOEFL 450, min 50^%
4. Nilai kinerja dosen >= 3
5. Indeks kepuasan stakeholder: 3.5
Rencana kerja (rencana mutu) terkait sasaran mutu sudah disusun.
Pencapaian sasaran mutu tahun 2013, dimonitor dan dilaporkan setahun sekali.
Assessment Report.
Report Author BUDI SISWANTO Page 13 of 25 Visit Start Date 24/09/2014
Applicable requirement / regulatory
- UU RI no. 12 / 2012
- Kurikulum Pendidikan NERS edisi 2010
- KKNI (Kualifikasi KUrikulum Nasional Indonesia)
Objective evidence
- Jadual workshop kurikulum prodi Ilmu keperawatan 22-27 Jjuli 2014
- SK tim pengkaji KKNI, #38/SK-STIKES/Ad/V/2013 tgl. 1 Mei 2014
- Hasil Kajian KKNI
- Buku Kurikulum 2008, disetujui oleh Rektor (Kepala STIKES)
- Laporan workshop kurikulum
- Identifikasi perubahan kurikulum
- SOP #SAY/AK/PBM/08 "Desain dan pengendalian kurikulum".
- Peninjaan silabus/SAP/modul mamta kuliah
- Silabus/rancangan pembelajaran; "Keperawatan jiwa" (3 SKS) dan "Konsep keperawatan gerontik" (4 SKS)
- Panduan akademik TA 2013/2014
- Panduan Praktikum TA 2014/2015
- Kualifikasi dosen mengajar di STIKES; terdiri dari pendidikan, pengalaman, pelatihan dan keterampilan
- CV Dosen luar untuk keperawatan jiwa (PAk Sutejo) dan konsep keperawatan gerontik (Bu Wasilah)
- Panduan tutorial keperawatan jiwa dan konsep keperawatan gerontik, disetujui oleh Ka. Prodi
- Monitoring perkuliahan tutorial (setiap 4 bulan). Bulan Desember 2013 (konsep keperawatan gerontik) dan Maret-April 2014
(keperawatan kejiawaan).
- Laporan evaluasi dosen per semester 2013/2014
- Kriteria penilaian dosen
- Laporan verifikasi arsip-arsip UTS/UAS TA 2013/2014
- Daftar nilai mahasiswa, Mahasiswa NIM 201010201001 dan NIM 201010201002
- Pengajuan penyusunan tugas akhir mahasiswa dan berita acara ujian proposal (dan ujian hasil). Mahasiswa NIM 201010201001 dan
NIM 201010201002
- Rapat Prodi TA 2013/2014 tgl. 22 Jan. 2014
Conclusion
Secara umum proses di Prodi Ilmu keperawatan berjalan degan baik.
Observations.
Type Area/Process Clause
Observations Prodi Keperawatan 7.5.1
Scope FS 600796
Details: 1. Perlu dibuatkan panduan untuk pembuatan soal UTS/UAS, agar bobot/mutu soal bisa distandarkan
2. Master soal UTS/UAS harus diverifikasi oleh pejabat yang berwenang untuk memastsikan bahwa soal tsb
sudah mencakup materi perkuliahan yang disebutkan dalam silabus.
Assessment Report.
Report Author BUDI SISWANTO Page 14 of 25 Visit Start Date 24/09/2014
Type Area/Process Clause
Observations Prodi Keperawatan 6.2.1
Scope FS 600796
Details: Agar dibuatkan alat monitoirng untuk melihat gap kompetensi, yang bisa membandingkan antara
kompetensi dosen sebenarnya dengan persyaratan kompetensinya.
Hal ini untuk memudahkan pengembangan kompetensi dosen.
Kerjasama internasional dan Humas : 5.4,8.2.3,7.5.1,7.5.5
Auditee: Ibu Indri dan tim
Process overview
Departement ini bertanggung jawab, antara lain:
melakukan kerjasama dengan instansi luar negeri (internasional), melakukan kerjasama dengan instansi nasional, melakukan
kegiatan yang bermanfaat bagi masyarakat, promosi sekolah.
Key Process/parameter
Sasaran mutu 2014 sudah dibuat, antara lain:
1. Kompetensi staf humas yang profesional yang memiliki profesi kehumasan dan bahasa asing: 3 orang
2. Kerjasaam nasioanl dengan mira: 110
3. Kerjasaam nasioanl dengan mira: 10
4. Saran promosi melibatkan IT: 20 tayangan
5. kegiatan rutin melibatkan masyarakat: 4 per tahun
Rencana kerja (rencana mutu) terkait sasaran mutu sudah disusun.
Pencapaian sasaran mutu tahun 2013, dimonitor dan dilaporkan setahun sekali.
Applicable requirement / regulatory
Tidak ada peraturan spesifik terkait aktivitas di Humas
Objective evidence
- Daftar kerjasama STIKES dengan instansi luar negeri
- MOU dengan National Taipe University of Nursing & Health Science, Taiwan
- MOU dengan Taipe Hospital
- MOU dengan Khon University, Thailand
- MOU dengan RS PKU Jogyakarta
- MOU dengan ASRI MEdical Center
- MOU dengan RS Sardjito Jogyakarta
- Laporan CSR, tgl. 26 Juni 2014
- SOP #SAY/PMS/HUM/16
- SOP #SAY/PMS/HUM/17
- Laporan kegiatan internasional summer school di Jepang, Agustus 2014
- Angaran promosi 2014
- Laporan ketersediaan dana/promosi 2014
- List bahan-bahan promosi
Assessment Report.
Report Author BUDI SISWANTO Page 15 of 25 Visit Start Date 24/09/2014
Observations.
Type Area/Process Clause
Observations Kerjasama internasional dan Humas 7.5.1
Scope FS 600796
Details: Petugas promosi dikirimkan oleh STIKES ke SMA-SMA untuk mempromosikan STIKES.
Standar kompetensi (keterampilan) untuk seorang petugas promosi sebaiknya dibuatkan untuk memastikan
bahwa petugas promosi memiliki keterampilan yang dibutuhkan untuk melakukan promosi sekolah.
Karena petugas promosi memberikan kesan pertama kepada sekolah SMA, sehingga harus benar-benar
memiliki keterampilan yang cukup, untuk menunjang keberhasilan promosi.
During the course of the visit logos were found to be used incorrectly.
Letter, email, busisness card
Nonconformities Raised at Last Assessment. Ref Area/Process Clause
961434N0 5.4.2
Scope FS 600796
Details: The organization not define clearly the quality management system planning in order to meet the quality
objective.
Requirements:
Quality objectives
Top management shall ensure that quality objectives, including those needed to meet requirements for
product [see 7.1 a)], are established at relevant functions and levels within the organization. The quality
objectives shall be measurable and consistent with the quality policy.
5.4.2 Quality management system planning Top management shall ensure that
a) the planning of the quality management system is carried out in order to meet the requirements given in
4.1, as well as the quality objectives, and
b) the integrity of the quality management system is maintained when changes to the quality management
system are planned and implemented.
Objective
Evidence:
Quality objective of Laboratorium define in document no. SAY/BPM-P/SM/RO dated 25 July 2013.
Actions: Achieve the quality objective target was already done of analisys based monitoring and corrective action
effectiveness
Closed?: Yes
Ref Area/Process Clause
961434N0 8.4
Assessment Report.
Report Author BUDI SISWANTO Page 16 of 25 Visit Start Date 24/09/2014
Scope FS 600796
Details: The activity of data analysis not found to be effectively implemented in order to achieve the quality
objective target
Requirements:
Analysis of data
The organization shall determine, collect and analyse appropriate data to demonstrate the suitability and
effectiveness of the quality management system and to evaluate where continual improvement of the
effectiveness of the quality management system can be made. This shall include data generated as a result
of monitoring and measurement and from other relevant sources.
The analysis of data shall provide information relating to
a) customer satisfaction (see 8.2.1),
b) conformity to product requirements (see 8.2.4),
c) characteristics and trends of processes and products, including opportunities for preventive action (see
8.2.3 and 8.2.4), and
d) suppliers (see 7.4).
Objective
Evidence:
Sasaran Mutu LP3M no. SAY/BPM-P/SM/RO
Actions:
Closed?: No
Justification
Ref Area/Process Clause
961434N1 7.4
Scope FS 600796
Details: The organization has not implemented the purchasing process based on .
Procedure no. SAY/BUSDM/PSM/20.0.2, the actual implementation based on Perpress no. 54 tahun 2010.
Requirements: Purchasing
Objective
Evidence:
Procurement SOP no:SAY/BUSDM/PSM/20.0.2
Actions: Purchasing process was implemented by organization in accordance Procedure No. SAY/BUSDM/PSM/20.0.2
and based on Perpress No. 54 th. 2010.
Closed?: Yes
Ref Area/Process Clause
961434N2 7.5.2
Assessment Report.
Report Author BUDI SISWANTO Page 17 of 25 Visit Start Date 24/09/2014
Scope FS 600796
Details: The organization not define the use of spesific methods and procedures to validate and control the process
in order to achieve the quality objective targets.
Requirements:
Validation of processes for production and service provision
The organization shall validate any processes for production and service provision where the resulting
output cannot be verified by subsequent monitoring or measurement and, as a consequence, deficiencies
become apparent only after the product is in use or the service has been delivered.
Validation shall demonstrate the ability of these processes to achieve planned results.
The organization shall establish arrangements for these processes including, as applicable,
a) defined criteria for review and approval of the processes,
b) approval of equipment and qualification of personnel,
c) use of specific methods and procedures,
d) requirements for records (see 4.2.4), and
e) revalidation.
Objective
Evidence:
Sasaran Mutu Unit Keuangan no. SAY/BPM-P/SM/RO dated 25 July 2013
Actions: The organization was define the use of specific methods and procedures to validate and control the process
in order to achieved the quality objective targets.
Closed?: Yes
Ref Area/Process Clause
961964N2 7.5.1
Scope FS 600796
Details: It was found during audit that result of "Ujian Skripsi" was not input in the system but "IPK" has been
issued for "Judisium".
Requirements:
Control of production and service provision
The organization shall plan and carry out production and service provision under controlled conditions.
Controlled conditions shall include, as applicable,
a) the availability of information that describes the characteristics of the product,
b) the availability of work instructions, as necessary,
c) the use of suitable equipment,
d) the availability and use of monitoring and measuring equipment,
e) the implementation of monitoring and measurement, and
f) the implementation of product release, delivery and post-delivery activities.
Objective
Evidence:
# NIM 201210104306
Actions: Result of "Ujian Skripsi" was input in the system before issued for "Judisium."
Assessment Report.
Report Author BUDI SISWANTO Page 18 of 25 Visit Start Date 24/09/2014
Closed?: Yes
Ref Area/Process Clause
961964N5 4.2.3
Scope FS 600796
Details: There is no In adequate evidence that tutorial and practicum handbook was controlled as well as
procedure.
Requirements:
Control of documents
Documents required by the quality management system shall be controlled. Records are a special type of
document and shall be controlled according to the requirements given in 4.2.4.
A documented procedure shall be established to define the controls needed
a) to approve documents for adequacy prior to issue,
b) to review and update as necessary and re-approve documents,
c) to ensure that changes and the current revision status of documents are identified,
d) to ensure that relevant versions of applicable documents are available at points of use,
e) to ensure that documents remain legible and readily identifiable,
f) to ensure that documents of external origin determined by the organization to be necessary for the
planning and operation of the quality management system are identified and their distribution controlled,
and
g) to prevent the unintended use of obsolete documents, and to apply suitable identification to them if they
are retained for any purpose.
Objective
Evidence:
# Modul Praktikum informatika kesehatan # ilmu dasar keperawatan III
Actions: Tutorial and practicum handbook for "Modul Praktikum Informatika Kesehatan - Ilmu dasar keperawatan"
was controlled as well as procedure.
Closed?: Yes
Ref Area/Process Clause
961964N6 6.3
Scope FS 600796
Details: It was found that record of maintenance was not consistently done in "kartu kendali peralatan"
Requirements:
Infrastructure
The organization shall determine, provide and maintain the infrastructure needed to achieve conformity to
product requirements. Infrastructure includes, as applicable,
a) buildings, workspace and associated utilities,
Assessment Report.
Report Author BUDI SISWANTO Page 19 of 25 Visit Start Date 24/09/2014
b) process equipment (both hardware and software), and
c) supporting services (such as transport, communication or information systems).
Objective
Evidence:
No evidence that inspection has been done in June 2013 at "kartu kendali peralatan" of IR Portable.
Actions: "Kartu Kendali Perawatan" was controlled and monitored periodically, such as : IR Portable.
Closed?: Yes
Minor Nonconformities Arising from this Assessment. Ref Area/Process Clause
1104525N1 Management Representative / BPM-P 5.6.2
Scope FS 600796
Details: Tinjauan manajemen telah dilakukan dengan cukup baik sesuai dengan prosedur Tinjauan Manajemen,
tetapi belum cukup bukti bahwa notulen tinjauan manajemen terakhir tanggal 12 Sept. 2014 sudah sesuai
input dan output tinjauan manajemen sesuai standart, seperti : umpan balik pelanggan, kinerja proses dan
kesesuaian produk dan perubahan yang dapat mempengaruhi sistem manajemen mutu.
Requirements:
The input to management review shall include information on
a) results of audits,
b) customer feedback,
c) process performance and product conformity,
d) status of preventive and corrective actions,
e) follow-up actions from previous management reviews,
f) changes that could affect the quality management system, and
g) recommendations for improvement.
Objective
Evidence:
Tinjauan Manajemen 12 Sept. 2014
Ref Area/Process Clause
1104525N2 Perpustakaan 8.5.2
Scope FS 600796
Details: Sasaran mutu untuk perpustakaan 2013-2014 sudah ditetapkan dan dimonitoring oleh organisasi dengan
baik, tetapi belum cukup bukti secara konsisten untuk beberapa sasaran mutu yang tidak tercapai belum
ada tindakan korektif (sebagian besar masih tindakan koreksi) dan ditinjau keefektifannya, seperti :
- Jumlah Judul bahan pustaka berupa buku teks 50 judul/thn
- Jumlah Judul bahan pustaka berupa desertasi/tugas akhir 375 judul/thn
- Peningkatan kompetensi pustakawan min. 50%
- Naskah publikasi hasil penelitian dosen dan mahasis
Assessment Report.
Report Author BUDI SISWANTO Page 20 of 25 Visit Start Date 24/09/2014
Requirements:
Corrective action
The organization shall take action to eliminate the causes of nonconformities in order to prevent
recurrence.
Corrective actions shall be appropriate to the effects of the nonconformities encountered.
A documented procedure shall be established to define requirements for
a) reviewing nonconformities (including customer complaints),
b) determining the causes of nonconformities,
c) evaluating the need for action to ensure that nonconformities do not recur,
d) determining and implementing action needed,
e) records of the results of action taken (see 4.2.4), and
f) reviewing the effectiveness of the corrective action taken.
Objective
Evidence:
Laporan Tahunan unit perpustakaan 2013/2014
Ref Area/Process Clause
1104525N3 Perpustakaan 4.2.4
Scope FS 600796
Details: Daftar rekaman terhadap beberapa buku perpustakaan belum cukup bukti telah dikendalikan dengan cukup
baik, seperti ditemukan ketidaksesuaian antara aktual buku dengan rekamannya (seperti nama
pengarangnya), seperti :
- Buku dengan kode pustaka No. 158/don/a1990, No. inventaris. C.1(6321) dengan judul buku "Asih Asah
dan Asuh: keutamaan Kaum wanita dgn penerbit kanisius dengan nama pengarang Don, Hillary th 1990
- Buku dengan kode pustaka No. 610.7367/Sim/b/1987 dengan judul "Buku Belajar Merawat di bangsal
bedah" karangan Simon, THS dengan No. invt. C.1 (156).
Requirements:
Control of records
Records established to provide evidence of conformity to requirements and of the effective operation of the
quality management system shall be controlled.
The organization shall establish a documented procedure to define the controls needed for the
identification, storage, protection, retrieval, retention and disposition of records.
Records shall remain legible, readily identifiable and retrievable.
Objective
Evidence:
SIMPTT Perpustakaan dan actual book.
Ref Area/Process Clause
1104525N4 Prodi D3 Kebidanan 6.2.2
Scope FS 600796
Details: Pelaksanaan pelatihan sudah sesuai dengan program yang telah ditetapkan, tetapi belum ada cukup bukti
Assessment Report.
Report Author BUDI SISWANTO Page 21 of 25 Visit Start Date 24/09/2014
bahwa telah dilakukan evaluasi keefektifan hasil pelatihan untuk beberapa pelatihan yang telah dilakukan,
seperti pelatihan untuk "item development dan item review dosen kebidanan STIKES "AISYIAH" Yogyakarta
dates 5 Feb. 2014."
Requirements:
Competence, training and awareness
The organization shall
a) determine the necessary competence for personnel performing work affecting conformity to product
requirements,
b) where applicable, provide training or take other actions to achieve the necessary competence,
c) evaluate the effectiveness of the actions taken,
d) ensure that its personnel are aware of the relevance and importance of their activities and how they
contribute to the achievement of the quality objectives, and
e) maintain appropriate records of education, training, skills and experience (see 4.2.4).
Objective
Evidence:
Laporan kegiatan pelatihan item development dan item review dosen kebidanan STIKES "AISYIAH"
Yogyakarta dates 5 Feb. 2014.
Ref Area/Process Clause
1104525N5 Laboratorium 8.2.3
Scope FS 600796
Details: 1. Berdasarkan kartu kendali alat nebulizer, ada penggunaan alat tsb di tgl. 27 Agt. 2014 dan 20 Sept.
2014. Tetapi di dalam buku peminjaman alat nebulizer, di tgl. tsb tidak ada catatan peminjamannya.
2. Berdasarkan daftar hadir kuliah praktek Keperawatan gawat darurat (di dalam data monitoring
perkuliahan), ada kegiatan praktikum di tgl. 6, 12, 13, 24 Sept. 2014.
Tetapi catatan penggunaan alat pada tanggal-tanggal tsb tidak ada, seperti yang dipersyaratkan di
prosedur SAY/AK/PBM/11.
Requirements: Monitoring and measurement of processes
The organization shall apply suitable methods for monitoring and, where applicable, measurement of the
quality management system processes. These methods shall demonstrate the ability of the processes to
achieve planned results. When planned results are not achieved, correction and corrective action shall be
taken, as appropriate.
NOTE When determining suitable methods, it is advisable that the organization consider the type and
extent of monitoring or measurement appropriate to each of its processes in relation to their impact on the
conformity to product requirements and on the effectiveness of the quality management system.
Objective
Evidence:
Kartu kendali nebuklizer 27 Agt. 2014 dan 20 Sept. 2014; Monitoring perkuliahan bulan Sept. 2104
Ref Area/Process Clause
1104525N6 Prodi Keperawatan 7.5.2
Scope FS 600796
Assessment Report.
Report Author BUDI SISWANTO Page 22 of 25 Visit Start Date 24/09/2014
Details: Belum ada bukti bahwa Panduan teori / modul teori (bahan ajar) yang dibuat oleh dosen divalidasi untuk
memastikan bahwa modul teori tsb sudah sesuai dengan silabus perkuliahan.
Requirements: Validation of processes for production and service provision
The organization shall validate any processes for production and service provision where the resulting
output cannot be verified by subsequent monitoring or measurement and, as a consequence, deficiencies
become apparent only after the product is in use or the service has been delivered.
Validation shall demonstrate the ability of these processes to achieve planned results.
The organization shall establish arrangements for these processes including, as applicable,
a) defined criteria for review and approval of the processes,
b) approval of equipment and qualification of personnel,
c) use of specific methods and procedures,
d) requirements for records (see 4.2.4), and
e) revalidation.
Objective
Evidence:
Modul teori keperawatan kejiwaan dan keperawatan gerontik
Assessment Participants. On behalf of the organisation:
Name Position
Mrs. Warsiti, S.Kp., M.Kep.,Sp.Mat Head of stikes
Mrs. Mufdlilah, S.Pd.,S.SiT.,M.Sc WK1
Mrs. Yuli Isnaeni, S.Kp, M.Kep.,Sp.Kom WK2
Mrs. dra Umu Hani EN, M. Kes WK3
Mr Syaifudin Management Representative
Mr. Ery Khusnal, MNS Ka. Prodi S1 keperawatan
Please see attendance list for the detail etc.
The assessment was conducted on behalf of BSI by:
Name Position
Danang Gunarto Team Leader
BUDI SISWANTO Team Member
Assessment Report.
Report Author BUDI SISWANTO Page 23 of 25 Visit Start Date 24/09/2014
Continuing Assessment. The programme of continuing assessment is detailed below.
Site Address Certificate Reference/Visit Cycle
Sekolah Tinggi Ilmu Kesehatan
'Aisyiyah Yogyakarta
Jl . Ring Road Barat 63
Mlangi Nogotirto Gamping Sleman
Yogyakarta
55292
Indonesia
FS 600796
Visit interval: 12 months
Visit duration: 3.5 Days
Next re-certification: 01/09/2016
Re-certification will be conducted on completion of the cycle, or sooner as required. An entire system re-assessment visit will be
required.
Re-certification Plan.
SEKOLA-0047476443-000|FS 600796
Visit1 Visit2 Visit3 Visit4
Business area/Location Date (mm/yy): 08/13 09/14 09/15 07/16
Duration (days): 5 3.5 3.5 5
Top Management X X X X
Management Representative/BPM-P X X X X
Biro Sumber Daya X X X
Bagian Administrasi Akademik X X X X
Prodi D3 Kebidanan X X X
Prodi D4 Bidan Pendidik X X X
Prodi S1 Keperawatan X X X
Prodi S1 Fisioterapi X X X
Laboratorium X X X
Perpustakaan X X X
Pusat Bahasa X X X
Bagian Pengembangan Teknologi Informasi X X X
Assessment Report.
Report Author BUDI SISWANTO Page 24 of 25 Visit Start Date 24/09/2014
Keuangan X X X
Bagian Kerjasama Internasional dan Humas X X X
Bagian Kemahasiswaan dan Pemberdayaan Alumni X X X
Bagian Kajian Islam dan Pembinaan Kader X X X
Lembaga Penelitian dan Pengabdian Masyarakat X X X
Recertification X
Next Visit Plan. Visit objectives:
CAV
The objective of the assessment is to conduct a surveillance assessment and look for positive evidence to ensure the elements of the
scope of certification and the requirements of the management standard are effectively addressed by the organisation's management
system and that the system is demonstrating the ability to support the achievement of statutory, regulatory and contractual
requirements and the organisations specified objectives, as applicable with regard to the scope of the management standard, and to
confirm the on-going achievement and applicability of the forward strategic plan.
The scope of the assessment is the documented management system with relation to the requirements of ISO 9001 : 2008 and the
defined assessment plan provided in terms of locations and areas of the system and organisation to be assessed.
Date Assessor Time Area/Process Clause
Assessor 1 Please see A218 form for the detail plan
Please note that BSI reserves the right to apply a charge equivalent to the full daily rate for cancellation of the visit by the
organisation within 30 days of an agreed visit date.
Notes. The assessment was based on sampling and therefore nonconformities may exist which have not been identified.
If you wish to distribute copies of this report external to your organisation, then all pages must be included.
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information to any third party, except that in the public domain or required by law or relevant accreditation bodies. BSI staff, agents
and accreditation bodies have signed individual confidentiality undertakings and will only receive confidential information on a 'need
to know' basis.
This report and related documents is prepared for and only for BSI’s client and for no other purpose. As such, BSI does not accept or
assume any responsibility (legal or otherwise) or accept any liability for or in connection with any other purpose for which the Report
may be used, or to any other person to whom the Report is shown or in to whose hands it may come, and no other persons shall be
entitled to rely on the Report.
Should you wish to speak with BSI in relation to your registration, please contact your customer service officer.
Assessment Report.
Report Author BUDI SISWANTO Page 25 of 25 Visit Start Date 24/09/2014
PT BSI Group Indonesia
Menara Bidakara 2
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Jl. Jend. Gatot Subroto Kav. 71-73
Komplek Bidakara, Pancoran
Jakarta Selatan 12870 - Indonesia
Tel: +62 21 8379 3174 - 77 Fax:+62 21 8379 3287
Email. [email protected], [email protected]